Blanca Licon
NPI 1922208693 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1830 George Dieter Dr Ste 103
El Paso, TX 79936 - Phone
- (915) 855-4244
- Fax
- (915) 855-4580
- Organisation at this address
- Premier Eyewear
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas